Document details

Joint association of ultra-processed food and sedentary behavior with anxiety-induced sleep disturbance among Brazilian adolescents

Author(s): Werneck, André O [UNESP] ; Vancampfort, Davy ; Oyeyemi, Adewale L ; Stubbs, Brendon ; Silva, Danilo R

Date: 2020

Persistent ID: http://hdl.handle.net/11449/200021

Origin: Oasisbr

Subject(s): Exercise; Fast food; Junk food; Physical activity; Sedentary behavior; Sleep; Exercise; Exercise; Fast food; Fast food; Junk food; Junk food; Physical activity; Physical activity; Sedentary behavior; Sedentary behavior; Sleep; Sleep


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Made available in DSpace on 2020-12-12T01:55:29Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-04-01

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

National Institute on Handicapped Research

Aims: We analyzed the joint association of high ultra-processed food ingestion and sedentary behavior (SB) with anxiety-induced sleep disturbance among Brazilian adolescents. Methods: Data from the Brazilian Scholar Health Survey, a nationally representative survey of 9th grade adolescents [mean: 14.28 years (range: 11–18 years)] conducted in 2015 (n = 100,648) were used. Self-reported anxiety-induced sleep disturbance, SB (TV viewing and total sitting time), and frequency of ingestion of different ultra-processed foods were collected. Age, ethnicity, type of city (capital or interior), region of the country, and habitual physical activity (global scholar survey questionnaire) were covariates. Logistic regression analyses were conducted to assess the associations. Results: High ultra-processed food ingestion plus low SB [boys:OR:1.44(99%CI:1.16–1.79), girls:OR:1.41(99%CI:1.22–1.63)] were risk factors for anxiety-induced sleep disturbance. The highest risk of anxiety-induced sleep disturbance was observed among those who joint high ultra-processed food ingestion with high SB [boys:OR:1.85(99%CI:1.46–2.35), girls:OR:1.62(99%CI:1.39–1.89)]. In addition, the interaction of high ultra-processed food ingestion with TV-viewing substantially increased the odds of anxiety-induced sleep disturbance [boys:OR:2.03(99%CI:1.61–2.56), girls:OR:2.04(99%CI:1.76–2.36)]. Conclusions: Both the high consumption of ultra-processed foods and SB (especially TV-viewing) appear to be independently associated with anxiety-induced sleep disturbance in both sexes. However, the co-occurrence of both negative lifestyle behaviors is associated with a substantial increase in the risk of anxiety-induced sleep disturbance. Future longitudinal research is required to confirm/refute our findings and explore potential mechanisms.

Department of Physical Education Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), Rua Roberto Símonsen, 305, 19060-900

Department of Rehabilitation Sciences KU Leuven – University of Leuven

Department of Physiotherapy College of Medical Sciences University of Maiduguri

Department of Psychological Medicine Institute of Psychiatry Psychology and Neuroscience King's College London United Kingdom South London Maudsley NHS Foundation Trust, De Crespigny Park

Department of Physical Education Federal University of Sergipe - UFS

Department of Physical Education Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), Rua Roberto Símonsen, 305, 19060-900

Document Type Journal article
Language English
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